Calling All JHS Students, Staff and Parents

Diggin’it!

Calling all JHS students, staff and parents ~

It’s time to clean up JHS grounds and we need your help.

What: Rebel Pride Day

When: Saturday, May 14th, 8:30-12:00
(light breakfast, and lunch served afterwards)

Where: JHS – Look for the check in station at the front of the school

How: Sign up withMrs. Hasslinger

All participants must sign, or if under 18 have a parent/guardian sign, the Hold/Harmless agreement form. (attached)

Clothing: Wear appropriate clothes for the weather & closed toed shoes. Example: Long sleeve shirt, jeans, jacket/rain jacket, and tennis shoes/hiking boots

Bring:garden gloves, rake, and shovel, pruning shears, broom and wheelbarrow. Label all your tools with your full name & phone number.

Volunteers who sign upparticipate

willget community service hours, lunchand 1 free raffle ticket.

Encourage a friend, teacher and parent… many hands make light work.

Lake WashingtonSchool District

HOLD HARMLESS AGREEMENT –REBEL PRIDE DAY

Project Name: ______Rebel Pride Day______(Attach Detail)

Proposed Date(s) of Project: Saturday, May 14, 2016______

By signature below, I understand that portions of this project may include the use of hand tools and power tools. I understand that I am responsible for providing and wearing personal protective clothing and equipment; i.e., safety glasses, gloves, etc., which may be needed when operating these tools. If I have questions regarding the safe use of this equipment, I am to ask for safety training prior to using this equipment.

I am fully aware of the special dangers and risks inherent to this project, including physical injury, death, or other consequences that may arise or result directly or indirectly from the activity. As an acknowledgement, I hereby assume all risk of injury or liability and wave any right of recovery from the Lake WashingtonSchool District, its Board, employees or volunteers for any personal injury, death or other consequences arising out of participation in this activity, except for loss or damage resulting from their sole negligence.

______

Signature of ParticipantDate

Please Print:

Name: ______Phone: ______

Address: ______

______

If Participant is under the age of 18, please have parent or legal guardian sign below:

I have read the above release form and by signature below agree to allow the above captioned “Minor Participant” to take part in the described activity and agree to the releases and statement made above.

______

Signature of Parent/GuardianDate

Please Print:

Name: ______Phone: ______

Address: ______

______